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The Epidemiology of Nonspecific Psychological Distress in New York City, 2002 and 2003

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Abstract

The 30-day prevalence of nonspecific psychological distress (NPD) is 3%, nationwide. Little is known about the prevalence and correlates of NPD in urban areas. This study documents the prevalence of NPD among adults in New York City (NYC) using population-based data from the 2002 and 2003 NYC Community Health Surveys (CHS) and identifies correlates of NPD in this population. We examined two cross-sectional random-digit-dialed telephone surveys of NYC adults (2002: N = 9,764; 2003: N = 9,802). Kessler's K6 scale was used to measure NPD. Age-adjusted 30-day prevalence of NPD declined from 6.4% [95% Confidence Interval (CI): 5.8–7.0] in 2002 to 5.1% [95% CI: 4.5–5.6] in 2003. New Yorkers who were poor, in poor health, chronically unemployed, uninsured, and formerly married had the highest prevalence of NPD. Declines occurred among those who were married, white, recently unemployed, and female. NPD prevalence in NYC is higher than national estimates. A stronger economy and recovery from September 11th attacks may have contributed to the 2003 decline observed among selected subgroups. The excess prevalence of NPD may be associated with substantial economic and societal burden. Research to understand the etiology of this high prevalence and interventions to promote mental health in NYC are indicated.

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References

  1. Dohrenwend BP, Shrout PE, Egri G, Mendelsohn FS. Nonspecific psychological distress and other dimensions of psychopathology. Arch Gen Psychiatry. 1980;37:1229–1236.

    PubMed  CAS  Google Scholar 

  2. Substance Abuse and Mental Health Services Administration. Results from the 2003 National Survey on Drug Use and Health: National Findings. Rockville, MD: Office of Applied Studies, NSDUH Series H-25, DHHS Publication No. SMA 04-3964, 2004. Available at: http://www.oas.samhsa.gov/NHSDA/2k3NSDUH/2k3results.htm#ch8. Accessed March 2, 2005.

  3. Centers for Disease Control and Prevention. Serious psychological distress. Early release of selected estimates based on data from the January—March 2004 National Health Interview Survey. Hyattsville, MD: U.S. Department of Health and Human Services, CDC, National Center for Health Statistics, 2004. Available at: http://www.cdc.gov/nchs/data/nhis/earlyrelease/200409_13.pdf. Accessed September 14, 2005.

  4. Australian Bureau of Statistics. National Health Survey: Mental Health 2001, Cat. No. 4811. Canberra: Commonwealth of Australia, 2003. Available at: http://www.abs.gov.au/Ausstats/abs@.nsf/Lookup/9FF78528B74F5AC5CA256DF100796E89. Accessed March 2, 2005.

  5. Mostashari F, Kerker BD, Hajat A, Miller N, Frieden TR. Smoking practices in New York City: the use of a population-based survey to guide policy-making and programming. J Urban Health. 2005;82:58–70.

    PubMed  Google Scholar 

  6. Frieden TR, Mostashari F, Kerker BD, Miller N, Hajat A, Frankel M. Adult tobacco use levels after intensive tobacco control measures: New York City, 2002–2003. Am J Public Health. 2005;95:1016–1023.

    Article  PubMed  Google Scholar 

  7. United Hospital Fund. New York City Community Health Atlas 2002. New York, NY: United Hospital Fund, 2002. Available at: http://www.uhfnyc.org/pubs-stories3220/pubs-stories_show.htmdoc_id=99007. Accessed March 2, 2005.

  8. Centers for Disease Control and Prevention. Behavioral Risk Factor Surveillance System 2002 Summary Data Quality Report. Atlanta, Georgia: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, 2002. Available at: http://www.cdc.gov/brfss/technical_infodata/2002QualityReport.htm. Accessed February 9, 2006.

  9. Centers for Disease Control and Prevention. Behavioral Risk Factor Surveillance System 2003 Summary Data Quality Report. Atlanta, Georgia: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, 2003. Available at: http://www.cdc.gov/brfss/technical_infodata/2003QualityReport.htm. Accessed February 9, 2006.

  10. Centers for Disease Control and Prevention. Behavioral Risk Factor Surveillance System Survey Questionnaire. Atlanta, Georgia: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, 2002. Available at: http://www.cdc.gov/brfss/questionnaires/index.htm. Accessed March 2, 2005.

  11. Centers for Disease Control and Prevention. National Health Interview Survey. Atlanta, Georgia: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, 2002. Available at: http://www.cdc.gov/nchs/nhis.htm. Accessed March 2, 2005.

  12. Kessler RC, Barker PR, Colpe LJ, et al. Screening for serious mental illness in the general population. Arch Gen Psychiatry. 2003;60:184–189.

    Article  PubMed  Google Scholar 

  13. Kessler RC, Andrews G, Colpe LJ, et al. Short screening scales to monitor population prevalences and trends in non-specific psychological distress. Psychol Med. 2002;32:959–976.

    Article  PubMed  CAS  Google Scholar 

  14. Furukawa TA, Kessler RC, Slade T, Andrews G. The performance of the K6 and K10 screening scales for psychological distress in the Australian National Survey of Mental Health and Well-Being. Psychol Med. 2003;33:357–362.

    Article  PubMed  CAS  Google Scholar 

  15. Centers for Disease Control and Prevention. 2003 Behavioral Risk Factor Surveillance System Calculated Variables (Version 13—Revised 09/01/2005). Atlanta, Georgia: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, 2005. Available at http://www.cdc.gov/brfss/technical_infodata/surveydata/2003.htm. Accessed September 16, 2005.

  16. SUDAAN® [computer program]. Release 8.0. Research Triangle Park, NC: Research Triangle Institute; 2001.

    Google Scholar 

  17. Dohrenwend BP. Socioeconomic status (SES) and psychiatric disorders: are the issues still compelling Soc Psychiatry Psychiatr Epidemiol. 1990;25:4–47.

    Google Scholar 

  18. Jacobi F, Wittchen H-U, Holting C, et al. Prevalence, comorbidity and correlates of mental disorders in the general population: results from the German Health Interview and Examination Survey (GHS). Psychol Med. 2004;34:597–611.

    Article  PubMed  CAS  Google Scholar 

  19. Andrade L, Caraveo-Anduaga JJ, Berglund P, et al. The epidemiology of major depressive episodes: results from the International Consortium of Psychiatric Epidemiology (ICPE) Surveys. Int J Methods Psychiatr Res. 2003;12:3–21.

    Article  PubMed  Google Scholar 

  20. Kessler RC, Berlgund P, Demler O, et al. The epidemiology of major depressive disorder: results from the National Comorbidity Survey Replication (NCS-R). JAMA. 2003;289:3095–3105.

    Article  PubMed  Google Scholar 

  21. Mitra M, Wilber N, Allen D, Walker DK. Prevalence and correlates of depression as a secondary condition among adults with disabilities. Am J Orthopsychiatr. 2005;75:76–85.

    Article  Google Scholar 

  22. Kienjna A, Wojtyniak B, Rymaszewska J, Trypka E. The prevalence of minor psychiatric morbidity and its correlates in Poland. Arch Psychiatry Psychother. 2001;3(4):31–43.

    Google Scholar 

  23. U.S. Census Bureau. 2000 Census SF3 Table SF3 POV P-1: Persons for Whom Poverty Status is Determined by Poverty Rate in 1999 by Age New York City, Boroughs and Census Tracts, 2000. Available at: http://www.nyc.gov/html/dcp/pdf/census/sf3povp1.pdf. Accessed March 2, 2005.

  24. DeNavas-Walt C, Proctor BD, Mills RJ. Income, Poverty, and Health Insurance Coverage in the United States: 2003. Washington, DC: U.S. Census Bureau, Current Population Reports, P60-226, U.S. Government Printing Office, 2004; Table 8, p. 23. Available at: http://www.census.gov/prod/2004pubs/p60-226.pdf. Accessed March 2, 2005.

  25. National Center for Health Statistics. Data File Documentation, National Health Interview Survey, 2003 (machine readable data file and documentation). Hyattsville, MD: National Center for Health Statistics, Centers for Disease Control and Prevention, 2004. Available at: http://www.cdc.gov/nchs/nhis.htm. Accessed March 2, 2005. (NOTE: The authors are responsible for all analyses, interpretations, or conclusions related to NHIS 2003 data. NHIS is responsible only for the initial data.).

  26. DeLisi LE, Maurizio A, Yost M, et al. A survey of New Yorkers after the Sept. 11, 2001, terrorist attacks. Am J Psychiatry. 2003;160:780–783.

    Article  PubMed  Google Scholar 

  27. Galea S, Vlahov D, Resnick H, et al. Trends of probable post-traumatic stress disorder in New York City after the September 11 terrorist attacks. Am J Epidemiol. 2003;158:514–524.

    Article  PubMed  Google Scholar 

  28. Schlenger WE, Caddell JM, Ebert L, et al. Psychological reactions to terrorist attacks: findings from the National Study of Americans' Reactions to September 11. JAMA. 2002;288:581–588.

    Article  PubMed  Google Scholar 

  29. Centers for Disease Control and Prevention. Serious psychological distress. Early release of selected estimates based on data from the January–March 2004 National Health Interview Survey. Hyattsville, MD: U.S. Department of Health and Human Services, CDC, National Center for Health Statistics, 2003. Available at: http://www.cdc.gov/nchs/data/nhis/earlyrelease/200309_13.pdf. Accessed September 14, 2005.

  30. Saunders D, Daly A. 2000 Collaborative health and wellbeing survey: psychological distress in the Western Australian population. Health Department of Western Australia, June 2001.

  31. Scheid TL, Horowitz AV. The social context of mental health and illness. In: Horowitz AV, Scheid TL, eds. A Handbook for the Study of Mental Health. New York: Cambridge University Press; 1999:151–160.

    Google Scholar 

  32. Stephens T. Physical activity and mental health in the United States and Canada: Evidence from four population surveys. Prev Med. 1988;17:35–47.

    Article  PubMed  CAS  Google Scholar 

  33. Dolfman ML, Wasser SF. 9/11 and the New York City economy: A borough-by-borough analysis. Mon Labor Rev. 2004;127:3–33. Available at: http://www.bls.gov/opub/mlr/2004/06/art1full.pdf. Accessed March 2, 2005.

  34. U.S. Department of Health and Human Services. Mental Health: A Report of the Surgeon General-Executive Summary. Rockville, MD: U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Mental Health Services, National Institutes of Health, National Institute of Mental Health, 1999. Available at: http://www.surgeongeneral.gov/library/mentalhealth/summary.html. Accessed September 21, 2005.

  35. World Health Organization. Investing in Mental Health. Geneva, Switzerland: Department of Mental Health and Substance Dependence, Noncommunicable Diseases and Mental Health, World Health Organization, 2003. Available at: http://www.who.int/mental_health/media/investing_mnh.pdf. Accessed September 21, 2005.

  36. World Health Organization. Promoting mental health: concepts, emerging evidence, practice: summary report. France: World Health Organization, Department of Mental Health and Substance Abuse in collaboration with the Victorian Health Promotion Foundation (VicHealth) and the University of Melbourne, 2004. Available at: http://www.who.int/mental_health/evidence/en/promoting_mhh.pdf. Accessed September 21, 2005.

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Acknowledgement

This project was funded by the New York City Department of Health.

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Correspondence to Katharine H. McVeigh.

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McVeigh, Thorpe, Maulsby, Henning, and Sederer are with the New York City Department of Health and Mental Hygiene, 125 Worth Street, New York, NY 10013, USA; Galea is with the University of Michigan School of Public Health, 1214 South University, Ann Harbor, MI 8104-2548, USA.

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McVeigh, K.H., Galea, S., Thorpe, L.E. et al. The Epidemiology of Nonspecific Psychological Distress in New York City, 2002 and 2003. JURH 83, 394–405 (2006). https://doi.org/10.1007/s11524-006-9049-2

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